脑梗死恢复期与后遗症期中医社区综合康复模式研究

目的]探讨中医康复措施治疗脑梗死恢复期的临床疗效。方法]选择129例脑梗死恢复期患者,平行对照分为治疗组68例、对照组61例。对照组采用内科基础治疗和现代康复;治疗组在内科基础治疗上,加用针灸、按摩、中医心理、中药泡洗等中医康复治疗方案,两组均采用美国国立卫生研究院卒中量表(NIHSS)、日常生活能力量表(ADL)评定神经功能缺损程度和生活能力,疗程为3个月。结果]全分析集(FAS)、符合方案集(PPS),治疗组的NIHSS、汉密尔顿抑郁量表(HAMD)程度与对照组相当,ADL评分优于对照组(P0.05)。结论]中医社区综合康复方案治疗脑梗死恢复期与后遗症期患者的疗效与传统西医康复方法相当,能改善患者神经功能缺损程度及抑郁情绪,提高患者生活质量,其生活质量改善程度优于西医康复。

Comprehensive rehabilitation model research of traditional Chinese medicine community on the recovery and sequelae period of cerebral infarction

Objective] To study the clinical curative effect on the rehabilitation measures of cerebral infarction recovery using the Chinese medicine. Methods] The 129 cases of cerebral infarction patients were selected, including 68 cases in the treatment group and 61 cases in the control group. The foundation treatment and rehabilitation of internal medicine was used in the control group, and the treatment group used the basic treatment, plus Chinese medicine rehabilitation program including acupuncture, massage, psychological treatment and Chinese medicine bath. Two groups both were treated with NIHSS, ADL scale to assess the degree of neurological deficits and activities of daily living for 3 months. Results] Whether the FAS data sets or PP data sets,NIHSS, HAMD scores in the treatment group were similar to those in the control group, and ADL scores in the treatment group was significantly better than that in the control group(P<0.05). Conclusion] Rehabilitation treatment using traditional Chinese medicine measures significantly reduces the recovery of nerve function defect and depression degree in patients with cerebral infarction, and improves the ability of daily life, which is better than using western medicine.